Individual provider · Type 1 NPI

Kalissa Jo Smiddy

Behavior Technician · Davenport, IA

NPI number 1992624100 Active

Practice location

4959 Utica Ridge Rd
Davenport, IA 52807-3063

Call (563) 362-9631 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-26-2829318 (IA)

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1992624100

Kalissa Jo Smiddy's National Provider Identifier is 1992624100, issued on Jul 13, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Davenport, IA. The record was last updated on Jul 13, 2026.